Evaluating the cost and efficacy of leg ulcer care provided in two large UK health authorities

Journal of Wound Care
D A EllisonC McCollum

Abstract

This prospective study investigated the cost and efficacy of leg ulcer care over a three-month period during 1993, 1994 and 1999. It compared two health authorities (Stockport and Trafford) whose populations totalled 540,000. All patients with active leg ulcers were invited to community leg ulcer clinics offering research-based innovations in care. Patients without significant arterial disease (ankle brachial pressure index less than 0.8) were treated with multilayer compression bandaging. The 42% healing rate reported in the original Stockport study was maintained at 40% in 1999, although the 65% healing rate achieved by the leg ulcer clinics in 1993 was not replicated, with rates falling to 46%. Following the opening of community leg ulcer clinics in Trafford, healing rates rose from 20% to 42%. The annual expenditure on leg ulcer care in Stockport increased from 65,545.56 Pounds to 83,344.30 Pounds, while in Trafford the cost of care dropped from 151,375.35 Pounds to 53,176.76 Pounds between 1994 and 1999. This study suggests that reductions in costs and improvements in healing rates can be sustained in a mature community leg ulcer clinic programme staffed by specialist leg ulcer nurses.

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Citations

Jun 5, 2004·BMJ : British Medical Journal·Deborah A SimonCharles N McCollum
Jan 22, 2005·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Gunnel Ragnarson Tennvall, Jonas Hjelmgren
May 26, 2006·International Wound Journal·Stuart EnochKeith G Harding
Aug 29, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A Forssgren, O Nelzén
Jul 19, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·W B CampbellJ A Michaels
Jan 1, 2012·Scientifica·Bauer E Sumpio
May 4, 2005·The International Journal of Lower Extremity Wounds·Birgit Heinig, Uwe Wollina
May 4, 2005·The International Journal of Lower Extremity Wounds·Peter J Franks, Nick Bosanquet
Oct 8, 2013·The Cochrane Database of Systematic Reviews·Nehemiah SamuelIan C Chetter
Nov 16, 2012·The Cochrane Database of Systematic Reviews·Susan O'MearaJo C Dumville
Sep 9, 2008·British Journal of Community Nursing·Susan Knight
Dec 24, 2002·Journal of Wound Care·H Baxter
Dec 13, 2007·British Journal of Nursing : BJN·Christine Tait, Elaine Gibson
Mar 8, 2005·British Journal of Nursing : BJN·Rachel Booker

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